Highland Wellness Center, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

HIGHLAND WELLNESS CENTER, LLC

Practice address

1513 Line Ave Ste 345
Shreveport, LA 71101-4621

Phone

(225) 755-8475

NPI assigned

Sep 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Granger Harriss IV

Title

Manager

Phone

(225) 755-8475

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1356869820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 LINE AVE STE 345",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 LINE AVE STE 345",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014621",
            "telephone_number": "225-755-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "HARRISS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GRANGER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-755-8475",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Highland Clinic, a Prof Med Corp
• Highland Clinic, a Prof Med Corp
• Highland Clinic, a Prof Med Corp
• Highland Clinic, a Prof Med Corp
• Highland Emergency Group, LLC
• Julian Hightower, LMT
• Yazan Hijazein
• Henrique Carlos Hilario, D.P.M.
• Hill Cross Hospice Inc.
• Angela L. Hill, LCSW

• Psychiatric Hospital in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Psychiatric Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.